Active NPI
Rebecca E Barnes, CCC-SLP
- Speech-Language Pathologist
- Myrtle Beach, SC
National Provider Identifier
1831385517
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- 4138
- Practice address
- 2400 Seneca Ridge Dr
Myrtle Beach, SC 29579-4189 - Phone
- (843) 903-3277
- Fax
- (866) 668-9946
- NPI assigned
- Sep 17, 2007
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | 4138 | SC | Primary |
Addresses
Primary practice location
2400 Seneca Ridge Dr
Myrtle Beach, SC 29579-4189
Mailing address
2400 Seneca Ridge Dr
Myrtle Beach, SC 29579-4189
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4138 | SC | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1189987200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1189987200000",
"number": "1831385517",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2400 SENECA RIDGE DR",
"city": "MYRTLE BEACH",
"state": "SC",
"postal_code": "295794189"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2400 SENECA RIDGE DR",
"city": "MYRTLE BEACH",
"state": "SC",
"postal_code": "295794189",
"telephone_number": "843-903-3277",
"fax_number": "866-668-9946"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BARNES",
"first_name": "REBECCA",
"middle_name": "E",
"credential": "CCC-SLP",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-09-17",
"last_updated": "2007-09-17",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "SC",
"license": "4138",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Myrtle Beach, SC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 17, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.